Organization
IDAHO HAND & UPPER EXTREMITY THERAPY DME
Active
Organization
IDAHO HAND & UPPER EXTREMITY THERAPY DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SWIDER OTR/L, CHT (OWNER)
(208) 664-0575
Entity
Organization
Contact information
Practice address
920 W IRONWOOD DR, SUITE 207, COEUR D ALENE, ID 83814-2463
(208) 664-0575
(208) 664-0576
Mailing address
920 W IRONWOOD DR, SUITE 207, COEUR D ALENE, ID 83814-2463
(208) 664-0575
(208) 664-0576
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
Update your record
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